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Predicting Transition to the Supine Sleep Position in Preterm Infants

McMullen, Sherri L. PhD, RN, NNP-BC; Carey, Mary G. PhD, RN, CNS

doi: 10.1097/ANS.0000000000000051
Post-Hospital Nursing

The purpose of this secondary analysis was to determine what factors predict the transition of preterm infants to the supine sleep position prior to hospital discharge (N = 286). The supine position reduces the risk of sudden infant death syndrome. Factors found to predict a greater than 1-week transition to the supine sleep position were hospital policy (P < .001), gestational age (P < .001), and birth weight (P < .01). Transition to the supine position during hospitalization potentially reduces the risk of preterm infants being placed in nonsupine positions after hospitalization and, ultimately, the risk of untimely death by sudden infant death syndrome.

College of Nursing, Upstate Medical University, Syracuse, New York (Dr McMullen); and Clinical Nursing Research Center, Strong Memorial Hospital, Rochester, New York (Drs McMullen and Carey).

Correspondence: Sherri L. McMullen, PhD, RN, NNP-BC, College of Nursing, Upstate Medical University, 545 Cedar St, Syracuse, NY 13210 (

The first author was a participant in the 2014 NLN Scholarly Writing Retreat, sponsored by the NLN Foundation for Nursing Education and Pocket Nurse.

The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

© 2014Wolters Kluwer Health | Lippincott Williams & Wilkins